Individual provider Active NPI

Renee Michelle Roski-Holdo, MAMFT

  • Marriage & Family Therapist
  • Atlanta, GA
National Provider Identifier
1073168100
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
1900 The Exchange SE Ste 180
Atlanta, GA 30339-2049
Phone
(770) 575-9393
NPI assigned
Aug 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X GA Primary

Addresses

Primary practice location

1900 The Exchange SE Ste 180
Atlanta, GA 30339-2049

Mailing address

319 Fort St NE
Marietta, GA 30060-1708
Phone (404) 731-8621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1073168100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 FORT ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601708",
            "telephone_number": "404-731-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 THE EXCHANGE SE STE 180",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392049",
            "telephone_number": "770-575-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSKI-HOLDO",
        "first_name": "RENEE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "MAMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.